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Health Perception/Health Management
- Client's perceived patter of health and well-being and how health is managed.
- Ex: compliance w/ meds, health promotion (exercise, check ups)
- Pattern of food and fluid consumption relative to metabolic need and pattern; indicators of local nutrient supply
- Ex: condition of skin teeth hair nails mucous membranes ht and wt
- Patterns of excretory funtion (bowel, bladder, skin). Includes client's perception of normal function
- Ex: frequency of BM, voiding pattern, pain on urination, and appearance of urine and stool
- Patterns of exercise, activity, leisure, and recreation
- Ex: Exercise, hobbies. May include cardiovasculat and resp status, mobility and ADLs
- Sensory-perceptual and cognitive patterns
- Ex: Vision, hearing, taste, touch, smell, pain perception, and management; cognitive functions such as language, memory, decision making
- Patterns of sleep, rest, and relaxation
- Ex: client's perceptionof quality and quantity of sleep and energy, sleep aids, routines client uses
- Client's self-concept pattern and perceptions of self
- Ex: Body comfort, body image, felling state, attitudes about self, perception of abilities, objective data such as body posture, eye contact, voice tone
- Client's pattern of role engagements and relationships
- Ex: Perception of current major roles and responsibilities (e.g. father, husband, salesman); satisfaction with family, work or social relationships
- Patterns of satisfaction and dissatisfaction with sexuality pattern; reproductive pattern
- Ex: Number and histories of pregnancy and childbirth; difficulties with sexual functioning; satifaction with sexual relationship
- General Coping pattern and effectiveness of the pattern in terms of stress and tolerance
- Ex: clients usual manner of handling stress, available support systems, perceived ability to control or manage situations
- Patterns of values, beliefs (including spiritual), and goals that guide client's choices or decisions.
- Ex: religious affiliation, what client perceives as important in life, value-belief conflicts related to health, special religious practices
- To decrease the person's vulnerablity to disease, promotion of health and prevention of illness.
- Ex: parenting education, attn to personal hygiene, immunization, avoidance of toxins
- Early detection of disease to initiate early intervention
- Ex: cervical screening, mammography, bp monitoring, and blood cholesterol checking
- To minimize its effects and to prevent further disability (rehab after condition is stabilized)
- Ex: restorative care, therapeutic interventions
Best indicator of fluid status is?
Body weight, check daily wt in morn (7am)
Provacative/palliative, quality/qunatity, region/radiation, severity, timing
Stress as a response
- physiologic changes occur, can effect 3 interrelated systems: nervous, endocrine, immune.
- General adaptation syndrom (GAS) physiological response to stess
Stress as an stimulus
stress and illness.